Question 1 of 10A client is being cared for after a traumatic brain injury. During an initial assessment, the nurse performs the Glasgow Coma Scale and gives the client a score of 8. Which of the following responses from the nurse is appropriate to manage the client’s respiratory rate? Show
Question 2 of 10In which situation would it be most appropriate to perform a comprehensive health history assessment on a client?
Question 3 of 10When listening to a client’s heart sounds during auscultation, which sounds would most likely be heard using the bell of the stethoscope?
Question 4 of 10A nurse needs to assess posterior lung sounds in a client. In which position would it be most appropriate to place this client?
Question 5 of 10The nurse is performing an assessment of a client’s abdomen. Upon palpation, the nurse feels an abnormal lump in the left upper quadrant that is extremely painful for the client. The nurse is likely palpating which of the following?
Question 6 of 10The nurse is performing an initial assessment on a new client in the clinic. Which of the following elements would be included as part of the general survey? Select all that apply.
Question 7 of 10A nurse is performing an initial assessment on a client who is being admitted to the hospital for exacerbation of heart failure. During the client interview, the nurse wants to assess the client’s background and health history. Which of the following are examples of leading questions that the nurse should avoid? Select all that apply.
Question 8 of 10The nurse is caring for a client who arrives at the emergency department after falling down multiple times. Upon initial assessment, the client states, “I am so dizzy I can’t stay standing up.” What is the nurse’s first priority?
Question 9 of 10While at a routine clinic appointment, the nurse notes a client with lung cancer is breathing heavily, wearing dirty clothes, and looking disheveled. The client has lost 15 pounds since the last visit. Which of the following statements by the nurse therapeutically assesses the client’s functional capacity? Select all that apply.
Question 10 of 10A nurse is palpating a client’s abdomen to check for an abdominal aortic aneurysm during a physical assessment. Which part of the hand would the nurse most likely use to palpate for this finding?
Lastly, what email should we send your results to?I understand I will receive future communications from NURSING.com and agree to thePrivacy Policy. When assessing a client's liver during an assessment the nurse should palpate which abdominal quadrant?Palpate the liver at the right rib margin. Listen to bowel sounds in all 4 quadrants. Percuss the right lower abdominal quadrant.
Which of the following abdominal organs could a nurse possibly palpate?The organs located in the epigastric region are the stomach, pancreas, and duodenum. These organs can be palpated with a combination of deep and light palpation.
Where should a nurse check to determine the presence of pallor?The best areas to use to detect pallor and cyanosis include the tongue, nail beds, and mucous membranes.
What should the nurse explain to the client before testing Graphesthesia?The nurse is testing a client for graphesthesia and asks the client to close his eyes. The nurse should next ask the client to take which action? Identify 3 numbers or letters traced in the client's palm.
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